WHEN THE DOCTOR USES A HACK

Chapter 764: Chapter 764: (Extra 3 for Alliance Hierarch Clear Sky Struck by Dark Clouds)

And a group of people hurriedly ran in behind the patient, all quite young, around seventeen or eighteen years old, with the oldest being just in their twenties.

They wore frightened looks with restless expressions, and one of them was already scared to tears.

“Doctor! Please, I beg you, save him!”

“Yes, I’m begging you on my knees!”

…

The oldest of the youths felt helpless, collapsing to his knees with a thud at the entrance of the emergency room, his face etched with tension and concern.

Nurse Tian Xianglan happened to be there and hurried out, looking at the group of young men in their twenties.

She quickly said, “Young man, get up first.”

“Where’s your boss? Hasn’t he arrived yet?”

The older youth couldn’t help but swallow his saliva, “He should be here soon! We’ve already called him, please save him…”

Having said this, even the youths didn’t feel confident about whether the boss would show up.

As soon as Tian Xianglan heard the tone, she sensed a possibility and was immediately furious.

Compensation for workplace injuries is legally required and no one can be exempted.

However, often when it comes to whether an injury is considered a work-related injury, there are many issues to dispute.

Especially in these small factories and workshops that employ young people and may have many problematic labor contracts.

But now was not the time to worry about this; saving the person was the priority.

Tian Xianglan hastily helped with the procedures for deferring payment, and asked the big boy to contact his family.

…

…

Several doctors from the emergency office hurried in, and upon seeing the patient, they couldn’t help but feel a tingling scalp and a sharp contraction in their hearts.

It was at this moment Chen Cang’s gaze towards the patient changed.

He suddenly realized that a virtual human body model had appeared before his eyes!

Chen Cang looked at the model and was greatly shocked!

Because he clearly felt that the model represented the patient’s current condition, he could clearly see how deep the glass had penetrated, which blood vessels it had injured, whether it had reached the internal organs…

At that moment, the entire patient’s anatomical structure diagram, blood flow chart, including respiratory, cardiac, liver circulation… and so on all appeared in Chen Cang’s virtual four-dimensional model.

And just then, the patient suddenly began to breathe rapidly, and blood pressure values on the heart monitor plummeted.

Chen Cang’s virtual four-dimensional human body model quickly made a judgment!

It was as if his clinical thinking model had come to life!

Right!

Chen Cang realized, this four-dimensional diagram was the mental model he had formed for the patient.

And as the patient’s breathing became rapid, changes swiftly occurred in the virtual model.

Chen Cang could actually see the air entering the chest cavity after the glass punctured the pleura, the negative pressure disappearing… pressing on the lung causing difficulty breathing!

The answer was obvious!

Pneumothorax!

Yes!

It was pneumothorax!

Looking at this virtual patient, Chen Cang felt very excited.

Was this virtual four-dimensional model too amazing? Being able to precisely determine the patient’s condition – could there be a stronger skill for an emergency trauma surgeon?

No diagnostic skill at the moment was more powerful than this four-dimensional model!

Too awesome!

God-tier!

Absolutely god-tier!

Thinking about it, Chen Cang was somewhat trembling. This passive skill might well be his strongest yet.

He had struck gold!

For real!

Thinking of this made Chen Cang excited.

At this moment, Xiaolin shouted, “Director Chen, rapid breathing, reaching 40 times per minute!”

Instantly snapping back to the reality, Chen Cang said to Zhang Wenfu beside him, “The patient has a pneumothorax. Prepare for a pleural puncture! Right here…”

Everyone was momentarily stunned, glancing at Chen Cang curiously.

Zhang Wenfu nodded and immediately began to prepare the drainage tube for pleural puncture.

Chen Cang did not perform the procedure himself as he was still assessing the patient’s vital signs.

Soon, the pleural air drainage was completed, and the patient’s breathing indeed stabilized.

At this moment, everyone’s gaze toward Chen Cang was one of utter admiration, marveling at the swift judgment he had made—how keen and precise his clinical judgment was!

…

Before the surgery, Chen Cang had to ensure that the patient’s vital signs were stable, anticipating all possible dangers and controlling the blood loss.

Chen Cang monitored the blood pressure, breathing, heartbeat… as well as the patient’s condition, and suddenly said to Wang Yong beside him.

“The estimated blood loss is around 900-1000ml! The patient’s current bleeding rate is about 100ml per minute, tell the blood transfusion department to be ready for any emergency.”

Although it looked terrifying, fortunately, no major blood vessels were damaged, which was something to be thankful for.

People looked at Chen Cang with confusion. He could make such a judgment?

Chen Cang continued to bend over and said to Xiaolin, “Cut off the clothes, cut them all off!”

Xiaolin nodded and revealed the patient’s body.

“Prepare the dressing pack!”

“Contact the ultrasound department!”

Nurse Lele quickly got ready.

Meanwhile, Chen Cang started to remove the glass debris from the anterior chest area.

Only the shard in the precordial region wasn’t quickly removed because it had penetrated into the pericardium, making it tricky to handle. Most importantly, it had caused a pericardial effusion, and although it had not yet led to cardiac tamponade, preparations for a pericardial puncture under ultrasound guidance before surgery were essential!

At this time, Li Baoshan also hurried back to the emergency department.

Upon seeing the patient, he was shocked.

There were many wounds on the body, and even though Chen Cang had already treated some, the scars and bloodstains on the patient looked terrifying because of this.

Just then, the doctor from the ultrasound department also arrived with the ultrasound machine.

Under Chen Cang’s direction, most of the shattered debris had been mostly cleared away.

This made Li Baoshan hesitate a bit—after all, removing the glass fragments was not an easy task.

You had to precisely judge whether each shard had hit a vital spot, whether it had damaged blood vessels, and whether removing it could lead to adverse consequences.

For a surgeon, this was incredibly challenging!

Meticulous thought and judgment of the anatomical structure were necessary, informed by detailed signs, to conclude accurately!

It was very difficult.

But…

Looking at the large amount of glass debris around, Li Baoshan swallowed hard. After removing so much, the patient’s vital signs had become increasingly stable. This Chen… was truly amazing.

In the entire resuscitation room, only Chen Cang was speaking.

He accurately issued various medical orders, and the doctors around him didn’t doubt him; they executed them in an orderly fashion.

The excess glass was cleared away, many bleeding points were sutured by other doctors, and the blood loss gradually decreased. The patient’s consciousness remained very clear up to now.

Even with the effects of anesthesia, it was still painful!

Seeing five or six large pieces of glass still in the patient’s body, Chen Cang took a deep breath: “Prepare for pericardial puncture under ultrasound, extract the pericardial effusion, contact the operating room, prepare for surgery!”

Li Baoshan was stunned, “Pericardial effusion?”

The surrounding doctors also looked toward Chen Cang after hearing that.

Chen Cang nodded, “Yes, there is. You see, the patient’s bleeding has been controlled, blood pressure is slowly decreasing, and breathing is still somewhat accelerated despite intubation… All other conditions have been ruled out, leaving only one possibility—that this piece of glass has penetrated the pericardium, causing a slow bleed. Although it’s not causing cardiac tamponade, it’s… not conducive to surgery. It needs to be drained beforehand; it will make the surgery much easier later.”

“I estimate that there’s about 50-100 milliliters of blood in the pericardial cavity right now!”

Everyone was suddenly taken aback!

This… how could he make such a judgment?

And the doctor from the ultrasound department, after examining with the probe, nodded and said, “Chen is right, there is indeed blood in the pericardial cavity, approximately… between 75-90ml.”

Chen Cang nodded; he didn’t say 75 milliliters simply because he didn’t want to seem too exaggerated—it’s not good to guess too accurately…

Suddenly, the whole room fell silent.

This… his logical thinking capability is too strong, right?

How well must one understand the human body to make such a judgment?

Li Baoshan looked at Chen Cang with a hint of surprise.

This kid… was getting more and more enigmatic.

Such clinical judgment, particularly the mastery of various organs and the circulatory system, to come to such conclusions through every detail, revealed extremely strong clinical thinking!

Without decades of experience, how could anyone have such skill!

Li Baoshan had seen an old department head who was just as skilled, but… that man was already in his seventies. How old was Chen Cang?

Li Baoshan couldn’t help but mutter under his breath, “Damn… freak!”

…

…

ps: Thanks to Alliance Hierarch “Husband of Bai Jingjing” for their reward of 80,000, leading to this additional release!

Thanks to “10 October. 25th” for their reward of 20,000.

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